{"id":44,"date":"2026-07-20T15:59:38","date_gmt":"2026-07-20T15:59:38","guid":{"rendered":"https:\/\/workcompevent.com\/sawca\/?page_id=44"},"modified":"2026-07-20T15:59:38","modified_gmt":"2026-07-20T15:59:38","slug":"jurisdictional-sawca-membership-payment","status":"publish","type":"page","link":"https:\/\/workcompevent.com\/sawcareg\/jurisdictional-sawca-membership-payment\/","title":{"rendered":"Jurisdictional SAWCA Membership Payment"},"content":{"rendered":"\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"http:\/\/workcompevent.com\/wp-content\/uploads\/2023\/11\/SAWCA-logox125h.png\" alt=\"\" class=\"wp-image-954\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Payments via this form are the period: October 2025 \u2013 September 2026<\/p>\n\n\n<style id=\"wpforms-css-vars-41-block-7147215c-1b10-4ede-8523-a7b3bc0b1a1f\">\n\t\t\t\t#wpforms-41.wpforms-block-7147215c-1b10-4ede-8523-a7b3bc0b1a1f {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-stripe wpforms-block wpforms-block-7147215c-1b10-4ede-8523-a7b3bc0b1a1f wpforms-render-modern\" id=\"wpforms-41\"><form id=\"wpforms-form-41\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"41\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/sawcareg\/wp-json\/wp\/v2\/pages\/44\" data-token=\"c8225388680b6fc0aaffeffe69d8df3f\" data-token-time=\"1784756371\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-41-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-41-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-41-field_1-error\" required><label for=\"wpforms-41-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-41-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-41-field_1-last-error\" required><label for=\"wpforms-41-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-41-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-41-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-41-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-41-field_2-error\" required><\/div><div id=\"wpforms-41-field_4-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"4\"><div id=\"wpforms-41-field_4\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-41-field_4-error\"><h3>Billing Address (MUST match that on file with credit card company)<\/h3>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-41-field_5-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Address<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-41-field_5\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][5][address1]\" aria-errormessage=\"wpforms-41-field_5-error\" ><label for=\"wpforms-41-field_5\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-41-field_5-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][5][address2]\" aria-errormessage=\"wpforms-41-field_5-address2-error\" ><label for=\"wpforms-41-field_5-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-41-field_5-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][5][city]\" aria-errormessage=\"wpforms-41-field_5-city-error\" ><label for=\"wpforms-41-field_5-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-41-field_5-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][5][state]\" aria-errormessage=\"wpforms-41-field_5-state-error\" ><option class=\"placeholder\" value=\"\" selected disabled>&#8212; Select state &#8212;<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-41-field_5-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-41-field_5-postal\" class=\"wpforms-field-address-postal wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][5][postal]\" aria-errormessage=\"wpforms-41-field_5-postal-error\" ><label for=\"wpforms-41-field_5-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div>\t\t<div id=\"wpforms-41-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-41-field_3\" >Credit Info Address<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-41-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-41-field_6-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-type=\"payment-single\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Total Amount<\/label><div class=\"wpforms-single-item-price-content\"><div class=\"wpforms-single-item-price wpforms-field-medium wpforms-payment-price\">Price: <span class=\"wpforms-price\">&#036;1,000.00<\/span><\/div><\/div><input type=\"hidden\" id=\"wpforms-41-field_6\" class=\"wpforms-field-medium wpforms-payment-price\" name=\"wpforms[fields][6]\" value=\"&#036;1,000.00\"><\/div><div id=\"wpforms-41-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-41-field_7\">Please Enter Jurisdictional Membership Info Here<\/label><textarea id=\"wpforms-41-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-41-field_7-error\" ><\/textarea><\/div><div id=\"wpforms-41-field_8-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-type=\"stripe-credit-card\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Stripe Credit Card <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-stripe-credit-card-number\"><div id=\"wpforms-41-field_8\" class=\"wpforms-field-stripe-credit-card-cardnumber wpforms-field-required\" aria-errormessage=\"wpforms-41-field_8-error\" data-required=\"required\"><!-- a Stripe Element will be inserted here. --><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-41]\" disabled style=\"display: none;\"><label  class=\"wpforms-field-sublabel after\">Card<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-stripe-credit-card-name\"><input type=\"text\" id=\"wpforms-41-field_8-cardname\" class=\"wpforms-field-stripe-credit-card-cardname wpforms-field-required\" name=\"wpforms[stripe-credit-card-cardname]\" aria-errormessage=\"wpforms-41-field_8-cardname-error\" required><label for=\"wpforms-41-field_8-cardname\" class=\"wpforms-field-sublabel after\">Name on Card<\/label><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-41-field_3-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-41-field_3-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-41-field_3-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"41\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/pages\/44\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-41\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/workcompevent.com\/sawcareg\/wp-content\/plugins\/wpforms-3\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p class=\"wp-block-paragraph\">Payments are handled securely through Stripe, and CC information is not provided to SAWCA or WorkCompEvent.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Payments via this form are the period: October 2025 \u2013 September 2026 Payments are handled securely through Stripe, and CC information is not provided to SAWCA or WorkCompEvent.com<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank","meta":{"footnotes":""},"class_list":["post-44","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/pages\/44","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/comments?post=44"}],"version-history":[{"count":1,"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/pages\/44\/revisions"}],"predecessor-version":[{"id":45,"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/pages\/44\/revisions\/45"}],"wp:attachment":[{"href":"https:\/\/workcompevent.com\/sawcareg\/wp-json\/wp\/v2\/media?parent=44"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}